Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gordon Miles Wong, OD

Individual provider Optometrist · NPI 1417949942

Gordon Miles Wong, OD is an Optometrist in Petaluma, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

66 E Washington St
Petaluma, CA 94952-3165
Phone: (707) 778-1048
Fax: (707) 778-0113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8140T (CA)

Record details

NPI number1417949942
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESJuly 13, 2026

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